Individual provider Active NPI

Enrique Jose De la Cruz Hernandez, MD

  • General Practice Physician
  • Temple Terrace, FL
National Provider Identifier
1689920548
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME143269 Issued in FL
Practice address
9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500
Phone
(813) 200-7717
Fax
(833) 449-2451
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME143269 FL Primary

Addresses

Primary practice location

9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (833) 702-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102000650 FL Practitioner - General Practice 8628402443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

13045 Summerfield Square Dr
Riverview, FL 33578-7402
Phone (813) 672-1385

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Tampa, FL, CCN 109689
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC General Practice CurrentSince Jun 1, 2024 Accepting new patients
Idelis Fedeslinda Arias de la Torre General Practice PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients
Aegis Physicians Group, LLC Past Accepting new patients

Locations

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

13045 Summerfield Square Dr
Riverview, FL 33578
Phone (813) 672-1385

9740 N 56th St
Ste B
Temple Terrace, FL 33617
Phone (813) 200-7717

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: enrique.de.la.cruz.hernandez.1@27472.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1689920548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "833-702-8383",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 N 56TH ST STE B",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336175500",
            "telephone_number": "813-200-7717",
            "fax_number": "833-449-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ HERNANDEZ",
        "first_name": "ENRIQUE",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME143269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.